10 Tips for Home Health Nursing - page 2

The following are some tips I have learned from experience and my peers: 1. Have a good sense of humor. You have to learn to laugh at yourself. This is a good practice for most aspects of your... Read More

  1. by   catfish1
    I just passed my NCLEX RN last week and now I'm trying to figure out where to work. I've been a LPN for 15 yrs. My only experience is LTC. I need flexability because I have young children and working at the hospital isn't a good fit especially working 12 hour shifts. I'm more concerned about solidifing my skills. I've always wanted to try Home Care nursing. Is this a good place to start as a new grad? Any advice would be appreciated. Thanks.
  2. by   NurseRoRo
    Great Post! I've spent almost 10 years in the medical field and have survived my first year in HH. I think it's one of the industry's best kept secrets! I feel that all my jobs in the hospital (Peds, Inpt Rehab, OR) have given me skills that I can bring to my patients in the home.
  3. by   marros84
    Great article! I have been in nursing for 24 years; almost all in acute care. I went into Home Health almost 2 years ago. I find it both challenging & rewarding! I love the fact that my patients have my undivided attention; no call bells, telemetry alarms, telephones ringing non-stop, etc... I'm still working on the time management & organziation thing! A sense of humor is essential!
  4. by   faith2468
    Thank you for all of that helpful information on home health.
    i have been in home health for about 10yrs,(nursing 30 yrs) last year attempted to return to the hospital setting (why, i dont know). i ran back to home health as soon as i could. the main reason, i didnt have the time in the hospital setting to truly care for my patient(s). its here, take this pill, hang iv's, hang blood, wound care if you are lucky, oops, patient needs to go to ct scan....besides flexiability for home health, you need to be organized/systematic or the paperwork will eat you up....i have worked for agencies that had laptops for their nurses and those that still use the stone/stick method.....you will either love home health or return to your former choice of nursing, there is no 'maybe' with home health...i have done home health in texas, washington and arizona...it is really an eye opener how each state is so different even though all have the same basics..i love rural home health (east texas) where your directions to the patients home includes turn at the road where the rusted tractor is in the ditch.....lol....many days i have wanted to pack it up and leave, then i meet that patient/family who really needs home care, and i know this is where i want to be...good luck to all those who want to do home health, contact me for any questions or concerns, i would love to talk to other home health nurses.
  6. by   CuteNurse17
    Thanks HomeHealth20 for sharing your expertise! I am thinking about entering the HomeHealth arena and would like to know what type of supplies I should keep in my car. Do you have any tips on cost effective purchases for the supplies I will need to keep on hand? Thanks Much!
  7. by   jvrpurple
    Cute nurse 17.
    I am in HH for about 1 year now. I did ER nursing for 30 years.Had enough of hospitals. I love HH very much.The HH agency I work for set us up with plastic bins with all supplies we needed. Hopefully yours will. Things you need:
    BP cuff, stethascope,thermometer are esential. A sleeve of non sterile 4x4 , paper tape,2x2 . telfa pads (non stick) tegaderm all sizes, ns ,tao, sterile 4x4 ,
    drug book,plastic bins with extra papers that your HH uses.bandage sissors.If possible foams adhesive, hydrocolloid,kerlix.kling.alcohol wipes ,hand sanitizer,lab supplies,foley's . My trunk looks like the stock room in the hospital.But I have it .When I get a call to do something.
  8. by   chenoaspirit
    Its also a good idea to carry some dog treats in your car for your patients' little "angels" who act like a devil when you try to walk up to the door. I think every one of my patients have a dog.
  9. by   florianslove
    I did six years of home health as an LPN and loved it. Although I changed career paths to go into LTC, I will always look fondly on my home health years. All home health nurses, good luck.
  10. by   TerryBSN
    I have been in Home Health for the past 7 years and I love it. And I agree with either you will love home health or you will be running back for your prior specialty. Many nurses do not like home health, while others love it, it is like any specialty area. I have worked as a field nurse in home health, as a clinical supervisor for HH, and a DON of a HH, I prefer being in the field seeing patients and that is what I am doing now. The OASIS, well I am a COS-C, certified oasis specialists. If I have an admission, a recert or a post hospital I always make sure my OASIS, cert and orders are complete that night, if you let the paper work go it can mount up and be overwhelming. When I was the DON and clinical supervisor, my rule was you had till the next morning to turn in your prior days paper work, no excuses, this prevented the staff from getting behind and if someone else picked up the patient they had all the complete information needed.
  11. by   ILBCNU
    I have applied for HH position, but was told by a former co-worker that she used to work with a nurse that years later, after getting a job with HH, had gotten killed by a patient's family member while doing a home visit. I have often wondered about the safety issues of going into other people's homes and now this has me very scared. Has anyone had any bad experiences with home health visits in which they were afraid for their safety after they had already entered a home?
  12. by   SupeRNova81
    Thank you so much for this post. Everything is true and insightful!

    April 6th marks my one year anniversary as a home health nurse. I work in the Bronx. It can get complicated, frustrating, etc. managing patients' cases (because yes, you are the coordinator!) but WOW, I have loved this job. It does not even feel like it's been a year since I started. Sometimes when I'm working, I have so much fun interacting/teaching/providing care to (most) of my patients that I can't believe I'm working (until my paperwork time arrives). But even with the paperwork, it's fun but one must be really organized and able to stay on top of tasks of coordinating.

    Most days after my visits & paperwork, I don't feel like I've "worked" because I enjoy the job. With home health, that saying applies to me: Do what you love and you'll never work a day in your life. So far, so good.
  13. by   SupeRNova81
    As an aside, I also got my 2nd cat one day going home after seeing patients in my health area. She was a stray who kept following me down the block, then followed me to my car, hopped into my car, and did not stop purring. I went with her straight to our vet, she was cleared, and came home with us. Sweetest cat ever. Never thought my 1st cat would ever get along with another cat, but they became fast BFF's. Anyway, she's just another blessing that came along through home health. lol.